Home > Procedures > Surgical Procedures

Surgical Procedures

https://paulspine.com/wp-content/uploads/2021/06/minimally-invasive-tlif.png

Posterior Lumbar Fusion

A minimally invasive TLIF is done through two incisions several inches lateral to the midline of the spine. Minimally invasive instruments are used to dilate through the muscles to access the spine. Dr. Paul can then access arthritic joints, spinal stenosis, disc herniations, cysts, and other pathologies using this versatile approach.

https://paulspine.com/wp-content/uploads/2021/06/minimally-invasive-tlif.png

Posterior Lumbar Fusion

A minimally invasive TLIF is done through two incisions several inches lateral to the midline of the spine. Minimally invasive instruments are used to dilate through the muscles to access the spine. Dr. Paul can then access arthritic joints, spinal stenosis, disc herniations, cysts, and other pathologies using this versatile approach.

Lateral Interbody Fusion

A lateral fusion is performed after positioning you on your side. The entire procedure is performed through one or two small incisions. Tubes and dilators are used to access the spine and remove the disc. X-ray guidance and current neuromonitoring techniques make this procedure less invasive and safer.

https://paulspine.com/wp-content/uploads/2021/06/lateral-interbody-fusion.gif
https://paulspine.com/wp-content/uploads/2021/06/lateral-interbody-fusion.gif

Lateral Interbody Fusion

A lateral fusion is performed after positioning you on your side. The entire procedure is performed through one or two small incisions. Tubes and dilators are used to access the spine and remove the disc. X-ray guidance and current neuromonitoring techniques make this procedure less invasive and safer.

https://paulspine.com/wp-content/uploads/2021/06/microdiscectomy-screenshot-image.png

Lumbar Microdiscectomy

During a micro-discectomy, Dr. Paul removes and uses a small 1 to 1.5-inch incision to access the spine. The incision is longer if there is more than one level of surgery scheduled. A minimally invasive retractor is used to move muscles to the side gently. A small amount of bone and ligament are removed to expose the affected nerve. The nerves are moved to expose the disc fragment compressing the nerve and are then removed. While he does look in the disc to remove any other loose pieces, Dr. Paul leaves the remaining disc in place.

https://paulspine.com/wp-content/uploads/2021/06/microdiscectomy-screenshot-image.png

Lumbar Microdiscectomy

During a micro-discectomy, Dr. Paul removes and uses a small 1 to 1.5-inch incision to access the spine. The incision is longer if there is more than one level of surgery scheduled. A minimally invasive retractor is used to move muscles to the side gently. A small amount of bone and ligament are removed to expose the affected nerve. The nerves are moved to expose the disc fragment compressing the nerve and are then removed. While he does look in the disc to remove any other loose pieces, Dr. Paul leaves the remaining disc in place.

Lumbar Decompression

During a micro-decompression, Dr. Paul removes and uses a small 1 to 1.5-inch incision to access the spine. The incision is longer if there is more than one level of surgery scheduled. A minimally invasive retractor is used to move muscles to the side gently.

https://paulspine.com/wp-content/uploads/2021/06/microdiscectomy.gif
https://paulspine.com/wp-content/uploads/2021/06/microdiscectomy.gif

Lumbar Decompression

During a micro-decompression, Dr. Paul removes and uses a small 1 to 1.5-inch incision to access the spine. The incision is longer if there is more than one level of surgery scheduled. A minimally invasive retractor is used to move muscles to the side gently.

https://paulspine.com/wp-content/uploads/2021/06/anterior-lumbar-fusion-highres.gif

Anterior Lumbar Fusion

The anterior lumbar fusion is performed with a general or vascular surgeon to help with exposure. A 2-3 inch transverse incision is made on the lower abdomen. The anterior organs and blood vessels require some retraction to gain access to the spine. Dr. Paul then uses instrument to remove the disc and restore normal alignment to the spine.

https://paulspine.com/wp-content/uploads/2021/06/anterior-lumbar-fusion-highres.gif

Anterior Lumbar Fusion

The anterior lumbar fusion is performed with a general or vascular surgeon to help with exposure. A 2-3 inch transverse incision is made on the lower abdomen. The anterior organs and blood vessels require some retraction to gain access to the spine. Dr. Paul then uses instrument to remove the disc and restore normal alignment to the spine.

Anterior Cervical Disc Replacement

Anterior cervical disc replacements are done through an incision on the front of the neck. The incision length can be as short as an inch and a half but varies based on how many levels are being operated on and the size of your neck. After making the incision Dr. Paul gently retracts the esophagus, trachea and blood vessels to gain access to the front of your spine. He then removes the disc and removes the disc, or bone.

https://paulspine.com/wp-content/uploads/2021/06/rjp-procedures-acdr.jpg
https://paulspine.com/wp-content/uploads/2021/06/rjp-procedures-acdr.jpg

Anterior Cervical Disc Replacement

Anterior cervical disc replacements are done through an incision on the front of the neck. The incision length can be as short as an inch and a half but varies based on how many levels are being operated on and the size of your neck. After making the incision Dr. Paul gently retracts the esophagus, trachea and blood vessels to gain access to the front of your spine. He then removes the disc and removes the disc, or bone.

anterior cervical fusion

Anterior Cervical Fusion

Anterior cervical fusions are done through an incision on the front of the neck. The incision length can be as short as an inch and a half but varies based on how many levels are being operated on and the size of your neck.

anterior cervical fusion

Anterior Cervical Fusion

Anterior cervical fusions are done through an incision on the front of the neck. The incision length can be as short as an inch and a half but varies based on how many levels are being operated on and the size of your neck.

How can we help you?

How can we help you?

Educational Support Powered By
https://paulspine.com/wp-content/uploads/2021/06/nuvasive.png
https://paulspine.com/wp-content/uploads/2021/06/nuvasive.png
Disclosures & Important Information

Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

©2021 Ronjon Paul MD. All rights reserved.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

Disclosures & Important Information

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Paul makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Paul does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site. DR. PAUL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE. www.paulspine.com/legal/disclaimer.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

All logos and names are trademarks or registered trademarks of their respective owners.

Privacy Policy   |  Terms of Use   |   Disclaimer   |   Sitemap

©2021 Ronjon Paul MD. All rights reserved.

DAY OF SURGERY INFORMATION

Edwards Hospital

Arrival & Directions

Drive to the South parking garage. Free Valet parking is available during business hours. If you self-park, take the elevator from the garage to the first floor to enter the main hospital lobby. Wheelchairs are available if needed. Take the D elevator to the 2nd floor. Proceed to the Surgical and Endoscopy Check-In Desk. Here you and your family will be checked in and escorted to the Pre-op Area to be prepared for surgery. Up to two family members may wait with you until you are taken to surgery. Your family may then wait in the Surgical Waiting room until notified by the surgeon that the surgery has been completed. A receptionist will take down contact information so that your family may be easily reached to speak with Dr. Paul. Complimentary coffee is available for your family while in the Surgical Waiting room. The cafeteria and gift shop are on the ground floor in the North area of the hospital and the coffee shop is in the South area of the hospital for your family’s convenience.

Get Directions to Edwards Hospital

In the preoperative room you will be prepared for surgery. The team will be checking your vital signs, starting your IV, validating your medications, health history, lab results and any follow up for additional testing needed. At this time, they will obtain your consent for surgery and answer any questions you may still have. Your anesthesiologist will see you and your family prior to your surgery. Dr. Paul, Adam or Kevin  will mark your surgical site. You will be escorted to the operating room by cart. Your family can wait in the surgical waiting room. Dr. Paul will call them when surgery is completed.  If he can not reach them, he will leave a message with the Patient Liaison. Following surgery you will be taken to the Post Anesthesia Care Unit (PACU) where you will recover for an hour or more. During this time, pain and nausea control will be established and your vital signs will be monitored frequently.